A civilian student named Saber was caught in the crossfire in Khartoum. He had two choices: either flee and lose everything; or die. But within a moment his option to choose was violently denied: he died.
As a result of the brutal internal armed conflict in Sudan right now, UNHCR projects that 860,000 people will flee across the borders as refugees and returnees into the Central African Republic, Chad, Egypt, Ethiopia, Eritrea and South Sudan. About 50% will be children and adolescents below 18.
Will they arrive alive? They can’t choose. They can only hope.
Making it worse, none of the neighboring countries has the financial and structural capacity to manage such influx, and yet they too, have no choice.
Indeed, an enormous international response will be required to support the Refugee Response Plan developed by 134 partners, including UN agencies, national and international NGOs and civil society groups, and launched on 4 May 2023.
Fleeing children and adolescents will need immediate psycho-social support and mental health care to cope with the stress and trauma of the conflict and perilous escape. They will need school meals. They will need water and sanitation. They will need protection. In the deep despair of their young lives, they will need a sense of normalcy and hope for their future. They need it now and a rapid response to establishing education can meet these needs.
Or to paraphrase ECW’s new Global Champion, the world-renowned journalist, Folly Bah Thibault – who reaffirms the need for speed and quality: the humanitarian-development nexus in action – in her high-level interview in this month’s ECW Newsletter, “We need to deliver with humanitarian speed and development depth.”
The choice is ours.
ECW is now traveling to the region to support host-governments, UN and civil society colleagues who jointly produced the Refugee Response Plan and who are on the ground working day and night in difficult circumstances. ECW will provide support both through an initial First Emergency Response investment and through our global advocacy.
We all have a choice to act now. Our choice is not between losing everything or die. Our choice is between action or inaction. Between humanity and indifference.
Prior to the breakout of the internal armed conflict in Sudan, Samiya*, a 17-year-old refugee student, wrote in her recent Postcard From the Edge: “Education is our future dream. Education is one of the most important factors to progress in life. Through education, people can thrive in their lives; they can also develop their skills and improve their life quality.”
We can help make Samya’s dream come true at the hardest, darkest moment of her life. Samiya does not have that choice. Only, we have that choice. Let us recognize it for what it is: as a privilege or blessing of choosing responsibility and humanity.
Yasmine Sherif is Director of Education Cannot Wait.
The Ukraine crisis, which in addition to bringing devastation to the people of that country has had severe impacts on a global scale—even giving rise to the specter of nuclear weapons use—has entered its second year. Against this backdrop and amid urgent calls for its resolution, the G7 Summit of leading industrial nations will be held in Hiroshima, Japan, from May 19 to 21.
In February of this year, an emergency special session of the UN General Assembly was held, where a resolution calling for the early realization of peace in Ukraine was adopted. Among the operative paragraphs of the resolution was one that urged the “immediate cessation of the attacks on the critical infrastructure of Ukraine and any deliberate attacks on civilian objects, including those that are residences, schools and hospitals.”
With that as a first essential step, all concerned parties must come together to create a space for deliberations toward a complete cessation of hostilities. Here I would like to propose that, as negotiations advance through the cooperative efforts of the concerned countries, they be joined by representatives of civil society, such as the physicians and educators who work in schools and hospitals to protect and nurture people’s lives and futures, participating as observers.
In March, the leaders of Russia and China issued a joint statement following their summit meeting which reads in part: “The two sides call for stopping all moves that lead to tensions and the protraction of fighting to prevent the crisis from getting worse or even out of control.” This is aligned with the resolution adopted by the emergency special session of the UN General Assembly.
The G7 Hiroshima Summit should develop concrete plans for negotiations that will lead to a cessation of hostilities.
I also urge the G7 to commit at the Hiroshima Summit to taking the lead in discussions on pledges of No First Use of nuclear weapons. The current crisis is without parallel in the length of time that the threat of use and the fear of actual use of nuclear weapons have persisted without cease.
Since the bombings of Hiroshima and Nagasaki, the hibakusha of those cities, in coordination with the larger civil society movement, have stressed the inhumane nature of nuclear weapons; non-nuclear-weapon states have engaged in continuous diplomatic efforts; and the states possessing nuclear weapons have exercised self-restraint. As a result, the world has somehow managed to maintain a seventy-seven-year record of non-use of nuclear weapons.
If international public opinion and the taboo against the use of nuclear weapons were to fail to provide their braking function, nuclear deterrence policy will compel humankind to stand on a precipitous ledge, never knowing when it might give way.
Since the start of the Ukraine crisis, I have written two public statements. In both, I referenced the joint statement by the five nuclear-weapon states (United States, Russia, United Kingdom, France and China) made in January 2022, which reiterated the principle that “a nuclear war cannot be won and must never be fought,” and called for it to serve as the basis for reducing the risk of nuclear weapons use.
Also of important note is the declaration issued by the G20 group in Indonesia last November, which stated: “The use or threat of use of nuclear weapons is inadmissible.”
The G20 member countries include nuclear-weapon states as well as nuclear-dependent states. It is deeply significant that these countries have officially expressed their shared recognition that the use or threat of use of nuclear weapons is “inadmissible”—the animating spirit of the Treaty on the Prohibition of Nuclear Weapons (TPNW).
It is vital that this message be communicated powerfully to the world from Hiroshima.
As the G7 leaders revisit the actual consequences of a nuclear weapon detonation and the bitter lessons of the nuclear era, I urge that they initiate earnest deliberations on making pledges of No First Use so that their shared recognition of the inadmissible nature of nuclear weapons can find expression in changed policies.
If agreement could be reached on the principle of No First Use, which was at one point included in drafts of the final statement for last year’s NPT Review Conference, this would establish the basis on which states could together transform the challenging security environments in which they find themselves. I believe it is vital to make the shift to a “common security” paradigm.
Commitment to policies of No First Use is indeed a “prescription for hope.” It can serve as the axle connecting the twin wheels of the NPT and TPNW, speeding realization of a world free from nuclear weapons.
For our part, the SGI has continued to work with the world’s hibakusha, the International Campaign to Abolish Nuclear Weapons (ICAN)—which arose from its parent body IPPNW—and other organizations first for the adoption and now the universalization of the TPNW. As members of civil society, we are committed to promoting the prompt adoption of policies of No First Use of nuclear weapons, generating momentum to transform our age.
Testing new approaches for preventing gender-based violence to galvanize more and new partners and resources. Credit: UN Women
UNITED NATIONS, Nov 30 2022 (IPS) – How are the multiple shocks and crises the world is facing changing how we respond to gender-based violence? Almost three years after the COVID-19 pandemic triggered high levels of violence against women and girls, the recent Sexual Violence Research Initiative Forum 2022 (SVRI) shed some light on the best ways forward.
Bringing together over 1,000 researchers, practitioners, policymakers and activists in Cancún, Mexico, the forum highlighted new research on what works to stop and address one of the most widespread violations of human rights.
While some participants candidly – and bravely – shared that their initiatives did not have the intended impact, many discussed efforts that transformed lives, in big and small ways.
After 5 days of the forum one thing was clear; a lack of evidence is not what is standing in the way of achieving a better future. It is a lack of opportunities and the will to apply that evidence.
Among the many shared findings, UNDP presented its own evidence.
Since 2018, the global project on Ending Gender-based Violence and Achieving the Sustainable Development Goals (SDGs), a partnership between UNDP and the Republic of Korea, and in collaboration with United Nations University International Institute for Global Health, has tested new approaches for preventing and addressing gender-based violence, to galvanize more and new partners, resources, and support to move from rhetoric to action.
Three key strategies have emerged.
1. We need to integrate
Gender-based violence (GBV) intersects with all areas of sustainable development. That means that every development initiative provides a chance to address the causes of violence and to transform harmful social norms that not only put women disproportionately at risk for violence, but also limit progress.
Bringing together diverse partners to jointly incorporate efforts to end GBV into “non-GBV” programmes has been central to the Ending GBV and Achieving the SDGs project. Pilots in Indonesia, Peru and the Republic of Moldova integrated a GBV lens into local development planning.
The results were local action plans that focused on needs and solutions identified by the communities themselves, including evidence-based GBV prevention programming such as the Common Elements Treatment Approach, which has been proven to reduce violence along with risk factors such as alcohol abuse. This approach is growing, opening up new and more spaces for this work.
2. We need to elevate
While evidence is crucial to creating change, the work doesn’t stop there. We also need to elevate this evidence to policy makers and to support them in putting the findings into action. In our global project, we went about this in different ways.
In Peru women’s rights advocates and the local government worked together to draft a local action plan to address drivers of violence in the community of Villa El Salvador (VES). By working collaboratively and building trust between key players, the project was able to take a more holistic approach and to create stronger alliances to boost its sustainability and impacts.
In particular, the local action plan was informed by cost analysis research that showed that this approach would pay for itself if it prevented violence for only 0.6 percent of the 80,000-plus women in VES who are at risk for violence every year.
Since the pilot’s launch, more than 15 other local governments have expressed interest in the model, and it has already been replicated in three.
3. We need to finance
Less than 1 percent of bilateral official development assistance (ODA) and philanthropic funding is given to prevent and address GBV, despite the fact that roughly a third of women have experienced physical or sexual violence.
The “Imperative to Invest” study, funded by the EU-UN Spotlight Initiative and presented at the SVRI Forum, shows just what can be achieved with a US$500 million investment. The study highlights that Spotlight’s efforts will have prevented 21 million women and girls from experiencing violence by 2025.
The Ending GBV and Achieving the SDGs project also finds positive results when financing local plans. Through pilot initiatives in Peru, Moldova and Indonesia, it was possible to mobilize funds when different municipal governments take ownership of participatory planning processes at an early stage.
The local level is a key, yet an often overlooked, entry point to identifying community needs and, through participatory, multi-sectoral partnerships, to translate them into funded solutions.
In Moldova the regional government of Gagauzia assigned funds to create the region’s first safe space, with the support of the community.
The SVRI Forum was living proof that a better future is possible. It offered profound moments for thoughtful exchange, learning with partners and peers, and deepened our own reflections on the outcomes and next steps for this global project.
As we approach the final countdown to meeting the SDGs, including SDG5.2 on eliminating violence against women and girls, it has never been more urgent to take all this evidence and turn it into action against gender-based violence. Let’s act today.
Jacqui Stevenson is Research Consultant UNU International Institute for Global Health, Jessica Zimerman is Project Specialist, Gender-based Violence, UNDP, and Diego Antoni is Policy Specialist Gender, Governance and Recovery, UNDP.
This article is part of IPS coverage of the International Day for the Elimination of Violence against Women on Nov. 25.
“Not one woman less, respect our lives” writes a Peruvian woman on the effigy of a woman in a park in front of the courthouse, before a demonstration in Lima over the lack of enforcement of laws against femicides and other forms of violence against women. CREDIT: Mariela Jara/IPS
LIMA, Nov 24 2022 (IPS) – Violence against women has failed to decline in the Latin American region after the sharp rise recorded during the COVID-19 pandemic, while preventing the causes of such violence remains a major challenge.
“We attack the problem but not its causes. I have been talking for 30 years about the importance of preventing violence against women by fostering major cultural changes so that girls and boys are raised in the knowledge that it is unacceptable in any form.” — Moni Pizani
This date, established in 1999 by the United Nations, was adopted in 1981 at the first Latin American and Caribbean feminist meeting held in Colombia to promote the struggle against violence against women in a region where it continues to be exacerbated by high levels of ‘machismo’ or sexism.
The day was chosen to pay tribute to Patria, Minerva and Maria Teresa Mirabal, three sisters from the Dominican Republic who were political activists and were killed on Nov. 25, 1960 by the repressive forces of the regime of dictator Rafael Trujillo.
“It is not possible to confirm a decrease in gender violence in the region at this post-pandemic moment,” said Venezuelan lawyer Moni Pizani, one of the region’s leading experts on women’s rights. “I could say, from the information I have gathered and empirically, that the level has remained steady after the significant increase registered in the last two years.”
Pizani, who retired from the United Nations, currently supports the UN Women office in Guatemala after a fruitful career advocating for women’s rights. She was twice representative in Ecuador for UN Women and its predecessor Unifem, then worked for East and Southeast Asia and later opened the UN Women Office for Latin America and the Caribbean in Panama City as regional director.
“Before the pandemic we used to talk about three out of 10 women having suffered violence, today we say four out of 10. The other alarming fact is that the impact is throughout the entire life cycle of women, including the elderly,” she told IPS in a conversation in Tegucigalpa, Honduras during a Central American colloquium on the situation of women.
UN Women last year measured the “shadow pandemic” in 13 countries in all regions, a term used to describe violence against women during lockdowns due to COVID.
Seven out of 10 women were found to have experienced violence at some time during the pandemic, one in four felt unsafe at home due to increased family conflict, and seven out of 10 perceived partner abuse to be more frequent.
The study also revealed that four out of 10 women feel less safe in public spaces.
Pizani said the study showed that this violation of women’s human rights occurs in different age groups: 48 percent of those between 18 and 49 years old are affected, 42 percent of those between 50 and 59, and 34 percent of women aged 60 and over.
Venezuelan lawyer Moni Pizani, one of Latin America’s leading experts on gender issues, with a long career at UN Women and its predecessor Unifem, takes part in a Central American colloquium in Tegucigalpa on sustainable recovery with gender equality in the wake of the COVID pandemic. CREDIT: Mariela Jara/IPS
According to the same study, unemployed women are the most vulnerable: 52 percent of them experienced violence during the pandemic.
And with regard to mothers: one out of every two women with children also experienced a violation of their rights.
The expert highlighted the effort made by many countries to adopt measures during the pandemic with the expansion of services, telephone hotlines, use of new means of reporting through mobile applications, among others. But she regretted that the efforts fell short.
This year, the region is home to 662 million inhabitants, or eight percent of the world’s population, slightly more than half of whom are girls and women.
Peru is an example of similar situations of gender violence in the region.
It was one of the countries with the strictest lockdowns, paralyzing government action against gender violence, which was gradually resumed in the second half of 2020 and which made it possible, for example, to receive complaints in the country’s provincial public prosecutors’ offices.
The Public Prosecutor’s Office Crime Observatory reported 1,081,851 complaints in 2021 – an average of 117 per hour. The frequency of complaints returned to pre-pandemic levels, which in 2020 stood at around 700,000, because women under lockdown found it harder to report cases due to the confinement and the fact that they were cooped up with the perpetrators.
Cynthia Silva, a Peruvian lawyer and director of the non-governmental feminist group Study for the Defense of Women’s Rights-Demus, told IPS that the government has failed to reactivate the different services and that the specialized national justice system needs to be fully implemented to protect victims and punish perpetrators.
Lawyer Cynthia Silva, director of the Peruvian feminist institution Demus, poses for a picture at the headquarters of the feminist organization in Lima. She stresses the need for government action against gender violence to include not only strategies for attending to the victims, but also for prevention in order to eradicate it. CREDIT: Mariela Jara/IPS
She stressed the importance of allocating resources both for addressing cases of violence and for prevention. “These are two strategies that should go hand in hand and we see that the State is not doing enough in relation to the latter,” she said.
Silva urged the government to take action in measures aimed at the populace to contribute to rethinking socio-cultural patterns and ‘machista’ habits that discriminate against women.
Based on an experience they are carrying out with girls and adolescents in the district of Carabayllo, in the extreme north of Lima, she said it’s a question of supporting “deconstruction processes” so that egalitarian relations between women and men are fostered from childhood.
On Nov. 26 they will march with various feminist movements and collectives against machista violence so that “the right to a life free of violence against women is guaranteed and so that not a single step backwards is taken with respect to the progress made, particularly in sexual and reproductive rights, which are threatened by conservative groups in Congress.”
Adolescent women and men in Lima, the Peruvian capital, wave a huge banner during the march for the International Day for the Elimination of Violence against Women on Nov. 25, 2019, before the outbreak of the COVID-19 pandemic that exacerbated such violence in Latin America. CREDIT: Mariela Jara/IPS
An equally serious scenario
Argentina is another example of gender violence – including femicides – in Latin America, the region with the highest levels of aggression against women in the world, the result of extremely sexist societies.
The problem is that these laws are seriously flawed in their implementation, especially in the interior of the countries, agree UN Women, regional organizations and national women’s rights groups.
Rosaura Andiñach, an Argentine university professor and head of community processes at the Ecumenical Regional Center for Counseling and Service (CREAS), said it is worrying that in her country there are still high rates of femicide, despite the progress made in terms of legislation.
Between January and October 2022, there were 212 femicides and 181 attempted gender-based homicides in the country of 46 million people, according to the civil society observatory “Ahora que sí nos ven” (Now that they do see us).
She said the government still owes a debt to women in this post-pandemic context, as it fails to guarantee women’s rights by not adequately addressing their complaints.
“We do not want the same thing to happen as with a recent case: Noelia Sosa, 30 years old, lived in Tucumán and reported her partner in a police station for gender violence. They ignored her and she committed suicide that afternoon because she did not know what else to do. We are very concerned because the outlook is still as serious as ever in terms of violence against women,” Andiñach said.
It was precisely in Argentina that the #NiunaMenos (Not one woman less) campaign emerged in 2015, which spread throughout the region as a movement against femicides and the ineffectiveness of the authorities in the enforcement of laws to prevent and punish gender-related murders, because femicides are surrounded by a very high level of impunity in Latin America.
Moni Pizani, from UN Women, stressed that the prevention of gender violence should no longer fall short in the region.
“We attack the problem but not its causes. I have been talking for 30 years about the importance of preventing violence against women by fostering major cultural changes so that girls and boys are raised in the knowledge that it is unacceptable in any form,” she underlined.
This strategy, she remarked, “involves investing in youth and children to ensure that the new generations are free from violence, harassment and discrimination, with respect for a life of dignity for all.”
Security Council members vote to adopt a resolution endorsing special measures for protection from sexual exploitation and abuse by UN peacekeepers. Credit: UN Photo/Loey Felipe
UNITED NATIONS, Nov 21 2022 (IPS) – The United States, which recently laid down a set of guidelines to monitor sexual exploitation and abuse (SEA) by US citizens in international organizations, including the United Nations and its agencies worldwide, has implicitly accused the UN of faltering on a high-profile case last month.
The U.S. District Court for the Southern District of New York sentenced Karim Elkorany, an American citizen and a former UN employee, to 15 years in prison for the drugging and sexual assault of one victim and making false statements to cover up another sexual assault.
As part of the federal investigation, Elkorany admitted that he had drugged and/or sexually assaulted 17 additional victims between 2002 and 2016.
Ambassador Chris Lu, U.S. Representative for UN Management and Reform at the US Mission to the United Nations, said that consistent with State Department policies, “we have referred this matter to the Office of Inspector General for review to ensure a culture of accountability”
“We also call on the United Nations to undertake a similar review that includes a comprehensive examination of the handling of any sexual exploitation and abuse or sexual harassment (SEAH) allegations against Mr. Elkorany during his employment with the United Nations”.
The investigation, he said, should examine whether UN officials were aware of Elkorany’s misconduct and failed to take appropriate action, including ensuring the availability and accessibility of assistance to survivors.
In line with the “Principles on Protection from Sexual Exploitation and Abuse and Sexual Harassment (SEAH) for U.S. Government Engagement with International Organizations”, the United States said it is committed to preventing and responding to sexual exploitation and abuse and sexual harassment in the UN system.
“We strongly support the United Nations’ zero tolerance policy and the Secretary-General’s efforts to strengthen its implementation”.
“Protection from SEAH is the responsibility of leadership and managers at every level who have a duty to take action in response to allegations of SEAH and ensure implementation of governance policies and delivery of services in a manner that respects the rights and dignity of all personnel and communities served by our institutions.”
The critical stand against the UN comes amid “16 Days of Activism against Gender-Based Violence”, beginning November 25, and billed as an opportunity to call for prevention and elimination of violence against women and girls.
Meanwhile, UN Secretary General Antonio Guterres has established a Chief Executive Board Task Force to review policies to prevent sexual harassment and develop improved and consistent approaches across the UN, including a review of how the UN defines sexual harassment.
Tsitsi Matekaire, the Global Lead on Equality Now’s End Sexual Exploitation Programme based in the UK, told IPS the publication of these principles by the US government is a welcome development.
They echo similar positive initiatives by countries such as Australia and the UK, which have introduced measures following highly publicized scandals in recent years within the international aid sector.
“It is good to see more organizations introducing and extending safeguarding policies, but words must be underpinned by effective action and we need more evidence about the impact of these commitments. It is no good having protection strategies and procedures in place if they are not being well implemented and abuse continues unchecked”, said Matekaire.
“We don’t know the true scale of the problem, but we do know from frequent revelations that sexual harassment, sexual exploitation and abuse remain a widespread problem inside the United Nations system and within other international development organizations”.
In September 2022, she pointed out, a media investigation disclosed sexual abuse by humanitarian workers at an UN-run camp in South Sudan. It was reported that abuse occurred “on a daily basis” over a number of years and aid officials were aware as early as 2015.
Although the UN did take some action, it faced criticism for failing to introduce effective strategies to end the problem, and an external review cited a lack of victim support, she noted.
“The UN and all international development agencies must enforce a zero-tolerance approach to sexual abuse and harassment directed at, and perpetrated by, staff. This must apply to everyone, regardless of what level their position is”.
“All staff should receive training, with policies and procedures well communicated. Reports of abuse should be taken seriously, investigations carried out swiftly and effectively, and perpetrators held fully to account”.
She also said that aid workers and other whistle-blowers need to be well protected so they are able to disclose allegations of abuses without fear of negative repercussions, including retaliation or sidelining.
And safeguarding and reporting mechanisms need to ensure sexual predators are not able to evade punishment or move to different jobs where they are able to commit further offences.”
And here is the link to the article about the South Sudan story referenced above.
Meanwhile, a Reuters report of November 1 said the World Health Organization (WHO) has suspended a senior manager at its Geneva headquarters after a British doctor publicly alleged she was sexually assaulted at a health conference last month, according to two sources familiar with the matter.
Rosie James, a 26-year-old junior doctor working for England’s National Health Service tweeted last month that the assault occurred at the World Health Summit in Berlin. The event, which took place from Oct. 16-18, was jointly organized by the WHO. James said at the time that she planned to report the incident.
“The alleged perpetrator is on leave and the investigation is on-going,” a WHO spokesperson said in an emailed response to Reuters about James’s statements, without naming him.
The set of “Government Engagement Principles on Protection from Sexual Exploitation Abuse and Sexual Harassment within International Organizations, laid down by the US includes six key components:
Zero Tolerance
The United States will continue to promote the full implementation of policies of zero tolerance for sexual exploitation and abuse and sexual harassment, including zero tolerance for inaction in response to allegations, across the United Nations and other International Organizations.
This includes support for policies that prioritize prevention and mitigation efforts, monitor the effectiveness of such efforts, ensure safe access to confidential SEAH reporting mechanisms and appropriate survivor support, and embed survivor-centered principles across all actions in response to reported allegations – including investigations.
The United States recognizes that an absence of reporting does not mean incidents are not being perpetrated, nor does it indicate that zero tolerance policies are being fully implemented.
A Survivor-centered Approach
The United States expects all allegations or incidents of sexual exploitation and abuse and sexual harassment to be reviewed and addressed, while respecting principles of due process.
In its engagement with the United Nations and other International Organizations, the United States will continue to advocate for the use of survivor-centered principles and standards – an approach that recognizes and empowers survivors as individuals with agency and unique needs, safeguarding their dignity and wellbeing.
Prevention and Risk Mitigation
The United States will work with the United Nations and other International Organizations to institutionalize prevention and mitigation measures that go beyond basic awareness-raising, training, capacity-building or dissemination of codes of conduct, and include a commitment to promote adequate funding, dedicated technical staff, and meaningful risk analysis and mitigation.
The United States will hold the United Nations and other International Organizations to the highest standard, including from the onset of a crisis, conflict or emergency, to mitigate against such risk, especially with highly vulnerable populations.
Accountability and Transparency
The United States expects the leadership of the United Nations and other International Organizations to take meaningful action to support accountability and transparency through, among others, the following: the conduct of timely and survivor-centered investigations; response efforts driven by the needs, experiences, and resiliencies of those most at risk of SEAH; clear reporting and response systems, including to inform Member States of allegations or incidents; and accountability measures, including termination of employment or involvement of law enforcement, as needed.
Organizational Culture Change
The United States will work to advocate for the development by the United Nations and other International Organizations of evidence-based metrics and standards of practice in the implementation of zero tolerance policies, promote holistic approaches, empower women and girls, and reinforce leadership and organizational accountability.
Policies, statements, and training are essential, but alone are insufficient to produce lasting positive change. Systems-level change requires a shift in organizational culture, behavior, and the underlying processes and mechanisms to deliver assistance and promote internal accountability.
Empowerment of Local Communities
The United States will prioritize, in partnership with the leadership of the United Nations and other International Organizations, the critical importance of locally-led efforts, particularly those led by women and girls, who, when meaningfully supported and engaged, can inform the measures that may mitigate risks and promote safer foreign assistance programming.
Yomira Cuadros faced motherhood at an early age, as well as the obstacles of a sexist society like Peru’s, regarding her reproductive decisions. In the apartment where she lives with her family in Lima, she expresses faith in the future, now that she has finally started attending university, after having two children as a result of unplanned pregnancies. CREDIT: Mariela Jara/IPS
LIMA, Nov 18 2022 (IPS) – No woman in Peru should have to die, have her physical or mental health affected, be treated as a criminal or have an unwanted pregnancy because she does not have access to abortion, said Dr. Rocío Gutiérrez, an obstetrician who is the deputy director of the Manuela Ramos Movement, a non-governmental feminist center that works for gender rights in this South American country.
In this Andean nation of 33 million people, abortion is illegal even in cases of rape or fetal malformation. It is only legal for two therapeutic reasons: to save the life of the pregnant woman or to prevent a serious and permanent health problem.
Peru thus goes against the current of the advances achieved by the “green wave”. Green is the color that symbolizes the changes that the women’s rights movement has achieved in the legislation of neighboring countries such as Uruguay, Colombia, Argentina and some states in Mexico, where early abortion has been decriminalized. These countries have joined the ranks of Cuba, where it has been legal for decades.
“I didn’t tell my parents because they are very Catholic and would have forced me to go through with the pregnancy, they always instilled in me that abortion was a bad thing. But I started to think about how pregnancy would change my life and I didn’t feel capable of raising a child at that moment.” — Fatima Guevara
But Latin America remains one of the most punitive regions in terms of abortion, with several countries that do not recognize women’s right to make decisions about their pregnancies under any circumstances. In El Salvador, Honduras, Nicaragua, the Dominican Republic and Haiti it is illegal under all circumstances, and in some cases draconian penalties are handed down.
In the case of Costa Rica, Guatemala, Peru and Venezuela, meanwhile, abortion is allowed under very few conditions, while there are more circumstances under which it is legal in Bolivia, Brazil, Chile and Ecuador.
“In Peru an estimated 50,000 women a year are treated for abortion-related complications in public health facilities,” Dr. Gutiérrez told IPS. “This is not the total number of abortions in the country, but rather the number of women who reach public health services due to emergencies or complications.”
The obstetrician spoke to IPS from Buenos Aires, where she participated in the XV Regional Conference on Women, held Nov. 7-11 in the Argentine capital.
Gutiérrez explained that the cases attended are just the tip of the iceberg, because for every abortion complicated by hemorrhage or infection treated at a health center, at least seven have been performed that did not present difficulties.
Multiplying by seven the 50,000 cases treated due to complications provides the shocking figure of 350,000 unsafe clandestine abortions performed annually in Peru.
The doctor regretted the lack of official statistics about a phenomenon that affects the lives and rights of women “irreversibly, with damage to health, and death.”
Gutiérrez said that another of the major impacts is the criminalization of women who undergo abortions, due to mistreatment by health personnel who not only judge and blame them, but also report them to the police.
Obstetrician Rocío Gutiérrez (C), deputy director of the feminist Manuela Ramos Movement, stands with two fellow activists holding green scarves – representing the struggle for reproductive rights – during the XV Regional Conference on Women held this month in the city of Buenos Aires. CREDIT: Courtesy of Rocío Gutiérrez
Under article 30 of Peru’s General Health Law, No. 26842, a physician who attends a case of presumed illegal abortion is required to file a police report.
Gutiérrez also referred to the fact that unwanted pregnancies have numerous consequences for the lives of women, especially girls and adolescents, in a sexist country like Peru, where women often do not have the right to make decisions on their sexuality and reproductive health.
Healing the wounds of unwanted motherhood
By the age of 19, Yomira Cuadros was already the mother of two children. She did not plan either of the pregnancies and only went ahead with them because of pressure from her partner.
In 2020, according to official data, 8.3 percent of adolescents between the ages of 15 and 19 were already mothers or had become pregnant in Peru.
Cuadros, whose parents are both physicians and who lives in a middle-class family, said she never imagined that her life would turn out so differently than what she had planned.
“The first time was because I didn’t know about contraceptives, I was 17 years old. The second time the birth control method failed and I thought about getting an abortion, but I couldn’t do it,” Cuadros told IPS.
At the time, she was in a relationship with an older boyfriend on whom she felt very emotionally dependent. “I had made a decision (to terminate the pregnancy), but he didn’t want to, he told me not to, the pressure was like blackmail and out of fear I went ahead with the pregnancy,” she said.
Making that decision under coercion hurt her mental health. Today, at the age of 26, she reflects on the importance of women being guaranteed the conditions to freely decide whether they want to be mothers or not.
Peruvian activists go topless to demand the right to legal abortion, during a demonstration in the streets of the capital on Mar. 8, 2018. CREDIT: Mariela Jara/IPS
In her case, although she had the support of her mother to get a safe abortion, the power of her then-partner over her was stronger.
“Becoming a mother when you haven’t planned to is a shock, you feel so alone, it is very difficult. I didn’t feel that motherhood was something beautiful and I didn’t want to experience the same thing with my second pregnancy, so I considered terminating it,” she said.
Finding herself in that unwanted situation, she fell into a deep depression and was on medication, and is still in therapy today.
“I went from being a teenager to an adult with responsibilities that I never imagined. It’s as if I have never really gone through the proper mourning process because of everything I had to take on, and I know that it will continue to affect me because I will never stop being a mother,” she said.
She clarified that “it’s not that I don’t want to be a mother or that I hate my children,” and added that “as I continue to learn to cope, I will get better, it’s just that it wasn’t the right time.”
She and her two children, ages nine and seven, live with her parents and brother in an apartment in the municipality of Pueblo Libre, in the Peruvian capital. She has enrolled at university to study psychology and accepts the fact that she will only see her dreams come true little by little.
“Things are not how I thought they would be, but it’s okay,” she remarked with a newfound confidence that she is proud of.
Gutiérrez said more than 60 percent of women in Peru have an unplanned pregnancy at some point in their lives, and argued that the government’s family planning policies fall far short.
The National Institute of Statistics and Informatics reported that the total fertility rate in Peru in 2021 would have been 1.3 children on average if all unwanted births had been prevented, compared to the actual rate of 2.0 children – almost 54 percent higher than the desired fertility rate.
“There are a set of factors that lead to unwanted pregnancies, such as the lack of comprehensive sex education in schools, and the lack of birth control methods and timely family planning for women in all their diversity, which worsened during the pandemic. And of course, the correlate is access to legal and safe abortion,” said Gutiérrez.
She lamented that little or no progress has been made in Peru in relation to the exercise of sexual and reproductive rights, including access to safe and free legal abortion, despite the struggle of feminist organizations and movements in the country that have been demanding decriminalization in cases of rape, artificial insemination without consent, non-consensual egg transfer, or malformations incompatible with life.
University student Fátima Guevara decided to terminate an unwanted pregnancy when she was 19 years old. Four years later, she is sure that it was the right decision, in terms of her plans for her life. The young woman told her story at a friend’s home, where she was able to talk about it openly, in Lima, Peru. CREDIT: Mariela Jara/IPS
The obscurity of illegal abortion
The obscurity surrounding abortion led Fátima Guevara, when she faced an unwanted pregnancy at the age of 19, to decide to use Misoprostol, a safe medication that is included in the methods accepted by the World Health Organization for the termination of pregnancies.
“I didn’t tell my parents because they are very Catholic and would have forced me to go through with the pregnancy, they always instilled in me that abortion was a bad thing. But I started to think about how pregnancy would change my life and I didn’t feel capable of raising a child at that moment,” she told IPS in a meeting at a friend’s home in Lima.
She said that she and her partner lacked adequate information and obtained the medication through a third party, but that she used it incorrectly. She turned to her brother who took her to have an ultrasound first. “Hearing the fetal heartbeat shook me, it made me feel guilty, but I followed through with my decision,” she added.
After receiving proper instructions, she was able to complete the abortion. And today, at the age of 23, about to finish her psychology degree, she has no doubt that it was the right thing to do.
